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r f <br /> UST PROGRAM INSPECTION REPORT <br /> Facility Name: Address: 3�i d.��!� 01✓ In �G <br /> 25 CCR 2643 (d) Triennial tightness test of suction piping that is not continuously <br /> monitored <br /> 26 CCR 2643 (e) Biennial tightness test of gravity piping that is not continuously <br /> monitored <br /> 27 CCR 2662 Upgrade requirements for UST system " <br /> 28 CCR 2661 Permit to repair UST system <br /> 29 HSC 25286(a) Permit to alter monitoring system <br /> 30 HSC 25298(a) Illegal abandonment of UST system <br /> 31 HSC 25298 (b) Permit to temporarily close UST system <br /> 32 HSC 25298 (c) Permit to close UST system <br /> 33 Violation(s)not listed above <br /> Observation(s): <br /> �+ No tet► �� ravi�ei EHh k <br /> I Pot <br /> Inspection: Typeo�k� Date (tL t 1s.2 <br /> REHS 'J"S e� _Print <br /> Received by Print <br /> Title Phone <br /> 2 of_ <br /> PHS 260(8/04/00) <br />